MEDICARE: KINTI COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770434102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINTI COUNSELING, LLC

Provider Business Mailing Address
First Line	:	330 S LAKE AVE APT 330-118
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-5537
Country	:	US
Telephone Number	:	813-714-7944
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 S LAKE AVE APT 330-118
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-5537
Country	:	US
Telephone Number	:	813-714-7944
Fax Number	:

Authorized Official
Title or Position	:	LMHC
Name	:	MRS. DANIELA SUAREZ RIVERA
Credential	:	MS
Telephone Number	:	407-697-9617

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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